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General NPI Number Information
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NPI Number | 1700181179
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Entity Type | Organization
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Legal Business Name | MK URGENT MEDICAL CENTER INC
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Dates
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Enumeration Date | 01/17/2011
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Last Update Date | 04/24/2015
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Provider Practice Location Address
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Address Line | 2827 PALM HARBOR BLVD
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City | PALM HARBOR
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State | FL
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Zip | 34683-1926
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Country | US
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Telephone | 727-422-4545
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Fax | 727-216-6678
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Provider Business Mailing Address
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Address Line | 2827 PALM HARBOR BLVD
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City | PALM HARBOR
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State | FL
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Zip | 34683-1926
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Country | US
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Telephone | 727-422-4545
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Fax | 727-216-6678
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. NAGY S FARAG
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Credential | M.D.
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Telephone | 727-422-4545
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | ME81763
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License Number State | FL
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